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Integrating Asthma Prevention and Control: The Roles of the Coalition

King County Allies Against Asthma program of the King County Asthma Forum (KCAF), University of Washington, Public Health—Seattle & King County in Seattle, Washington

Emily Bourcier, MPH, MHA

King County Asthma Forum (KCAF), Evaluation Team at Group Health Community Foundation in Seattle, Washington

Marielena Lara, MD, MPH

Alianza Contra el Asma Pediátrica en Puerto Rico (ALIANZA) and the UCLA/RAND Program Latino Children with Asthma, UCLA Department of Pediatrics and RAND Health in Santa Monica, California

Jane W. Peterson, PhD, RN

King County Allies Against Asthma program of the King County Asthma Forum (KCAF), University College of Nursing in Seattle, Washington

Michael P. Rosenthal, MD

Allies Against Asthma (PAAA), Department of Family and Community Medicine at the Jefferson Medical College of Thomas Jefferson University in Philadelphia, Pennsylvania

Judith C. Taylor-Fishwick, MSc, AE-C

Allies Against Asthma initiative for the Consortium for Infant and Child Health (CINCH), Eastern Virginia Medical School in Norfolk, Virginia

Amy R. Friedman, MPH

Allies Against Asthma, Center for Managing Chronic Disease at the University of Michigan School of Public Health in Ann Arbor, Michigan

Laurie L. Lachance, PhD, MPH

Allies Against Asthma, Center for Managing Chronic Disease, University of Michigan in Ann Arbor, Michigan

Linda Jo Doctor, MPH

W.K. Kellogg Foundation in Battle Creek, Michigan

Activities addressing pediatric asthma are often fragmented. Allies coalitions promoted integration, the alignment of concurrent asthma control activities across and within sectors. Systems integration describes activities from an organizational perspective. Activities included developing a shared vision, promoting consistency in asthma education and self-management support, improving adherence to clinical guidelines, advocating jointly for policy change, and seeking funds collaboratively. Service integration describes activities focused on ensuring seamless, comprehensive services through coordination within and across organizations. Activities included use of community health workers (CHWs) and nurses for care coordination, program cross-referral, and clinical quality improvement. Integration is a sustainable role for coalitions as it requires fewer resources than service delivery and results in institutionalization of system changes. Organizations that seek integration of asthma control may benefit.

Key Words: asthma • child • coalitions • coordination of care • integration

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